DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Good Faith Insurance Services Property & Casualty	DOIID	1165920	NAIC NPN	17282642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/12/2021		3/31/2027
Active	Non Resident	Agent	Health	10/12/2021		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/14/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/14/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	12/14/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/6/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/18/2026
Active	SilverScript Insurance Company	663526	Agent - Health	12/14/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/6/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/6/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/28/2022	3/3/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2022	3/3/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Montes, Edda Lee	737724	Agent - Health	10/12/2021
Active	Montes, Edda Lee	737724	Agent - Life	10/12/2021